Information Collection

Strengthening the Implementation of Marriage and Relationship Programs (SIMR) - Evaluation Plan Template

IC 244933 under ICR 202012-0970-002 · OMB 0970-0356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A_SIMR OMB_Evaluation Plan Template_12-14-20_clean.docx	Other-Template
Appendix B_SIMR OMB_Evaluation Plan Template Instructions_12-14-20_clean.docx	Instruction
50898 SIMR_OMB_EvalPlans_StatementA_12-15-20_clean_final.docx SSA - GenIC SIMR Eval Plan Template	IC Document
Appendix C_SIMR OMB_Evaluation Plan Email Template_12-14-20_clean.docx Appendix C - Email	IC Document

IC Title:

Strengthening the Implementation of Marriage and Relationship Programs (SIMR) - Evaluation Plan Template

Agency IC Tracking Number:

OPRE

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template			Appendix A_SIMR OMB_Evaluation Plan Template_12-14-20_clean.docx		Yes	Yes	Fillable Fileable
Instruction			Appendix B_SIMR OMB_Evaluation Plan Template Instructions_12-14-20_clean.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	43	43
Annual IC Time Burden (Hours)	344	344
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - GenIC SIMR Eval Plan Template	50898 SIMR_OMB_EvalPlans_StatementA_12-15-20_clean_final.docx	12/15/2020
Appendix C - Email	Appendix C_SIMR OMB_Evaluation Plan Email Template_12-14-20_clean.docx	12/15/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.